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1407540917
STACY A WEST
COLUMBIA, SC
NPI
1407540917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 211228)
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
STACY A WEST FNP
115 BLARNEY DR
COLUMBIA, SC 29223-6291
Phone number: 803-462-9200
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Mailing Address
STACY A WEST FNP
1 GRACEWOOD DR
COLUMBIA, SC 29229-9209
Phone number: 803-308-1588
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